Unhappy with port placement

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PattyPeppermint
PattyPeppermint Member Posts: 11,162

anyone else unhappy with port placement. ?

Just complaining. My first port was like 14 years ago so maybe I just forgot about it. My new port is closer to the middle of my chest and it sticks out about a 1\4". My other port was flush to skin. You could feel it by not see it. All my summer shirts easily covered it. Now none of my summer shirts or even vneck shirts cover it. They say it's sticks out so muc because I lost so much weight. Jusy skin and bones. I know I was probably 30 lbs heavier but not sure that's the reason. Anyone else have it stick out so much ? It looks like a huge tumour growing out of chest. Ugly indeed. Just seeing if anyone else ad this problem or do I need them to replace it. Don't really like to have an procedures done but it looks like I'll have this one for the rest of my life I better be happy with it.

Thanks for sharing your experience with me

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Comments

  • sueopp
    sueopp Member Posts: 1,541
    edited March 2016

    Patty, yup my port sticks up, I think because my breasts ( and some muscle I presume) are gone and I only have skin and bones on my "chest". My minor complaint is that my port is located just where a normal bra strap would hit, so I had to locate mastectomy bras that worked (sorta). Of course the surgeon was a boy ... Best to you, SUE

  • carpe_diem
    carpe_diem Member Posts: 1,256
    edited March 2016

    I just had a port put in yesterday and was a bit surprised to discover that these days only power ports are used. Maybe your earlier port was a different style? Mine works with some of my bras and most v-necks, but I think it will show with deeper scoop necks. It sticks out about 1/4 inch.


  • teacher911
    teacher911 Member Posts: 853
    edited March 2016

    Patty, I'm sorry you're not happy with the placement and the way it protrudes. Mine has been in for about 3 years now. It also sticks out and can be very sore if touched for example by my 3 year old great niece giving me a bear hug. If my shirts are thin, it protrudes and you can see the ugly gray color. Finding a swimsuit is very difficult because of it's placement, but mostly I'm happy with it because I have lymphedema in one arm and small veins in the other. I hope you can figure out a way to feel better about it. Michele

  • exbrnxgrl
    exbrnxgrl Member Posts: 12,424
    edited March 2016

    Hi Patty,

    I know it's a bit late, as you've had your port placed, but might it still be a bit swollen from the actual surgery? Perhaps given some healing time, it will become less prominent. I have a very petite upper body area and a little hollow where my shoulder needs my chest. My port was placed there and is only visible if I wear something with very thin straps. It is a petite Bard power port and only the three palpation bumps are visible, though most people think it's a small bruise. I hope it settles down soon. Mine has been a godsend. Just had. PET this morning and love that they can use the port for it as well as all blood work. Take care

  • Longtermsurvivor
    Longtermsurvivor Member Posts: 1,438
    edited March 2016

    Hi Patty,

    I'm sorry that you're disliking your port's placement and its protuberance!

    Mine is 14 years old, pre-power port and has always stuck out, making it hard to choose clothes. Now that I've lost about 20#, it really shows - easily 1/4" high and about 3/4" diameter. I think a power port is bigger and might stick out more, but mine has always been very obvious to anyone looking.

    Have finally learned to live with mine, but it's about 4" below my collar bone and halfway between my center and shoulder.

    I think if it was dead center, I would ask for a new placement.

    btw, I was able to get mine done with only local anesthesia, maybe you could forgo the stronger stuff, should you get it replaced?

    Patty, I choose being happy whenever I can.

    Hope you'll sit with it for a while and if need be, get it placed in a better spot.

    Sending a warm hug, Patty,

    Stephanie

  • exbrnxgrl
    exbrnxgrl Member Posts: 12,424
    edited March 2016

    No! Power ports, at least the Bard brand can be very low profile and tiny. The only thing that "sticks out" are the three palpation bumps which are arranged in a triangle formation. The body of the port itself, also triangular, is not visible. Will try to post a pic:

    image

  • Longtermsurvivor
    Longtermsurvivor Member Posts: 1,438
    edited March 2016

    Thanks for the tip, exbrnxgrl.

    I looked at online images and now understand everyone's allusions to mice...the line running up the chest is so much more obvious than mine which goes under the skin to my shoulder, then tunnels into the vena cava from there.

    When I got mine, the earlier choices had been extruding lines like chest Hickman catheters with 2 or 3 lines and arm PICC lines with 1-3 lines. They require sterile conditions for everything and don't allow even exercise, never mind swimming.

    Those babies were noticable!

    warmest healing regards, Stephanie

  • exbrnxgrl
    exbrnxgrl Member Posts: 12,424
    edited March 2016

    I am not given to selfies, but here are two to show my port placement and it's very low profile. No visible lines at all . It's been in for over 4 years and was just accessed this morning. Note that it is not visible in a tank top. Apologies for the scary pics, no makeup

    Patty, if you are unhappy, after healing, you might want to look in to a change.

    image

    image

  • PattyPeppermint
    PattyPeppermint Member Posts: 11,162
    edited March 2016

    Wow. Thanks for all the info.

    And the pics.

    Glad to know I am not alone and that there may be a better placement if I don't get used to it

    So what is a power port ? And how is it different from my old one ? I guess I didn't ask many questions since I had one. Wgite. Didn't even have a visit with dr before outpatient procedure. I had used this radiology interventionalist for several back kyphos and other things so was comfy with him. I seem him this time only in the oper room. Oh yeah last time the stitched were exactly where the port was but now the stitches ( 2 different areas ) are in my neck ??? Wth ??



  • exbrnxgrl
    exbrnxgrl Member Posts: 12,424
    edited March 2016

    Patty,

    I think most major brands these days are power injectable ports. They allow two importsnt things; injection of tracer materials, such as those used for PET scans (just used mine this morning) and blood draws. No more needle sticks or searching for veins! Of course these functions can only be performed by port trained nurses (not lab techs). My medical facility alway asks if port access is needed for scans and I have my blood draws at the infusion center. They are well set up to use the power port for all it's intended ways. Some have reported getting power ports and then going to facilities which don't make trained personnel available except for actual infusions.

    Another thought on port placement is the upper arm. Not as common, but several women I know have had it placed there. Take care.

  • Longtermsurvivor
    Longtermsurvivor Member Posts: 1,438
    edited March 2016

    image

    Hi Patty,

    Here's mine just now...was less obvious when I had a bit more flesh on my chest. See, no mouse tail. :)

    Mine allowed blood draws until a few months ago, then stopped outflow, though kept inflow for IV infusions.

    I think I'll die with mine.

    warm healing, bumpy hug, Stephanie

  • exbrnxgrl
    exbrnxgrl Member Posts: 12,424
    edited March 2016

    What is the mouse tail? I have no visible evidence of anything, save for the palpation bumps

  • kt1966
    kt1966 Member Posts: 1,326
    edited March 2016

    Mine looks like Stephanie's, but I do have a 'mouse tail' that goes from the port & over my collar bone (I think they inset the catheter there, so they do a cut there. Mine is also a little higher & closer to my shoulder than Stephanie's.

    The nurses certainly don't need to feel for the bumps before they access the port, it's plain to see! However my clothes do cover it (I don't tend to wear singlet tops) which is good. So I do feel for you Patty, with yours being visible. I don't know that I'd go thru surgery again to move it tho!

    They really make life a little easier don't they :) Beats finding a vein for weekly chemo.

  • Longtermsurvivor
    Longtermsurvivor Member Posts: 1,438
    edited March 2016

    image

    Here's the mouse tail look from google images.

  • kt1966
    kt1966 Member Posts: 1,326
    edited March 2016

    here's a pic of mine complete with mouse tail :)image


  • exbrnxgrl
    exbrnxgrl Member Posts: 12,424
    edited March 2016

    The Bard ports are not plain to see, hence the palpation bumps. Mine was inserted through a single incision and is much higher up, where shoulder meets upper chest, so that might be why no lone is visible. Yes,my hey do beat finding a vein, hands down

  • PattyPeppermint
    PattyPeppermint Member Posts: 11,162
    edited March 2016

    thanks for pics ladies. Glad to know mine is normal. I guess just not what I expected after the last one. Mine is higher up and the mouse tail is much shorter but def visable. I guess vanity isn't the most important thing in my life. If it prevents numerous attempts to find a vien each time and also prevents so many hospital stays by home health being able to provide IV phenergan , sntibiotics and fluids at home it's well worth it. Now just gotta work up the courage to let my dss see it. I still have it covered with guaze now. Ds1 is so embarrassed anytime someone asks about me I imagine this will totally gross him out. I will be careful what to wear esp around others.

    Thanks again


  • ShetlandPony
    ShetlandPony Member Posts: 4,924
    edited March 2016

    Unlike exbrxgrl, I have a Bard power port that is plain to see. You can see the lump of the triangle with bumps, and the catheter going from that up over my collarbone. To the anatomically uneducated eye, the tail/catheter looks like a vein. I hide the triangle under clothes. Many scoop-neck tops work, but some don't. Patty, I hate it when I see it in the mirror, and I love it when I have a painless blood draw or scan injection. My family tells me it is not as obvious as it seems to me. One good thing is that the incision above the triangle has now faded, and since it is no longer red, it isn't noticeable. I do think they should have us meet with the doctor to discuss port placement before we get it. I think he did a pretty good job, but a half-inch lower would have made a big difference to me in terms of clothes.

  • exbrnxgrl
    exbrnxgrl Member Posts: 12,424
    edited March 2016

    As with so many things, I guess there are many variables with port placement and how it ultimately looks. The most important thing is that it works and spares ongoing assaults on our veins. I did suffer for mine in one aspect. My port surgery knocked my lung, resulting in a complete pneumothorax, a mad rush to the ER and a beside insertion of a chest tube (considered to be the most brutal bedside procedure in the ER). It got worse after that , but I'll spare you the details.

  • GG27
    GG27 Member Posts: 2,128
    edited March 2016

    Patty, I have a Bard power port & it is very noticeable. The nurses all love mine because it sticks out so much, so much so that they don't have to feel for the bumps, they can see the entire outline of it. They always want all the new nurses to use me as their guinea pig the first time. I think everyone is different depending on how thin their skin is. It used to bother me before, if people could see it when I wore tshirts or if something was a bit tight & you could see the bump of it which is quite noticeable, but now I don't care & if they stare, I just stare back at them. Cheers, Dee

  • PattyPeppermint
    PattyPeppermint Member Posts: 11,162
    edited March 2016

    exbrrngirl. Ouch double ouch. Sounds like a horrible experience

    Sue. To answer your question : I got my port because my vines are shot. I get weekly labs for ibrance and I've been in the hospital well over 60 days in 2015 and 2016 isn't starting any better. In the er I've been stuck more than a dozen times each time trying to find a vien that won't blow. The last two times they did a central line in my neck. Was very painful. And even guided by machine it took many attempts. Not only was it painful but it delayed my treatment of uncontrollable vomiting and diarrhea by more than 4 hours. So frustrating. Now that I have a port home health can treat me at home with iv nausea meds and antibiotics and fluids. Not going to the hospital is well worth it. I just thought my port placement was wrong but it looks like it's totally normal.

    I got my pamphlet out they gave me during port placement and apparently it's also a bard power port.

    Thanks for the input all

  • exbrnxgrl
    exbrnxgrl Member Posts: 12,424
    edited March 2016

    Sue,

    I have never had IV chemo yet still have my port. Here's what happened.

    - Had port installed in anticipation of chemo. I was staged IIB and set to do a clinical trial.

    - Had to do an echocardiogram for trial. Fluid found around my heart.

    - Fluid turns out to be nothing, but spot found on femur.

    - After the whole pneumothorax mess is resolved, biopsy shows 2cm bc met on upper femur.

    - A decision is made to nuke the met with rads, go on an AI and do Aredia infusions for two years. Aredia is an older bone strengthener.

    So, I used the port for Aredia only. I continue to use it for scans and blood draws. Since it doesn't bother me or show, I've chosen to leave it in, knowing I will probably need it one day. Despite the fact that I am not superstitious, there is a part of me that thinks the minute I remove it, I'll have progression. So as irrational as it seems, it's a bit of a talisman for me. Don't laugh 🤗.

  • exbrnxgrl
    exbrnxgrl Member Posts: 12,424
    edited March 2016

    Patty,

    I had two natural childbirths. They were walks in the park compared to a chest tube insertion in the ER (and I didn't get a cute little baby in the end)

  • debiann
    debiann Member Posts: 1,200
    edited March 2016

    Patty, I am so sorry you are unhappy with your port placement, but if it works and is comfortable that is way more important than the appearance. My port was under my bra strap. It was slightly visable, just a rounded bump, but it was very uncomfortable. While I couldn't see a "mousetail", I could feel it tug when I turned my head. The worse part was it was "wobbly", it would shift when they tried to access it and I sometimes had to be stuck more than one time. It was both painful and stressful Eventually they found a routine that worked, but I had to always ask for a very experienced nurse. If your port is comfortable and easy to access, don't fret the appearance, its there to make your life easier. Hope it works well for you.

  • car2tenn
    car2tenn Member Posts: 515
    edited March 2016

    OH my exbrnxgrl: I am horrified that you had a collapsed lung....I am wondering if you had a newly minted intern or resident...I didn't think that should happen...And oh yes that is a horrific bedside little procedure. I am glad you are okay now but I am not sure I would be so pleasant to the staff. And yes, I understand the logic of not taking it out lest you immediately need it...blessings to you. Carolyn from Music City

  • exbrnxgrl
    exbrnxgrl Member Posts: 12,424
    edited March 2016

    Carolyn,

    Well, statistically, it happens 1% of the time. In my case, it was an even odder situation in that on my post installation x-ray , my lung was fine. My lung was actually nicked and it slowly collapsed over the course of two weeks, similar to a slow leak on a tire. I had no pain, nor shortness of breath. This was definitely one of the most bizarre medical incidents of my life.

  • cling
    cling Member Posts: 333
    edited March 2016

    Patty, I don't think patient can choose where we want the port to be placed. I marked the right side (non cancer side) where bra stripe would be and asked BS to avoid it. He told me that he would not guarantee depending on where he finds my vein. When I came to, the port was my left side, and there were 2 punched spots on my right side. My hubby told me BS tried twice but could not find good vein, so it went in my left side. All I care was the port worked great during chemo, then came out during MX. If I need chemo again I will not hesitate to have port put in whichever side BS will find a good vein.

  • exbrnxgrl
    exbrnxgrl Member Posts: 12,424
    edited March 2016

    Sueris,

    Yikes, that was very negligent of your cancer center. I am not currently using my port, but do go for flushes every month. If I need a blood draw, I make an appointment at the infusion center, no wait. I have no incision at my neck, only at the port site, but I have heard others say they had a neck incision too.

    It's crazy how different port installation/location/uses and procedures can be from place to place

  • RonnieKay
    RonnieKay Member Posts: 2,067
    edited March 2016

    I'm confused by some of these posts. Brnxgirl, I'm surprised they put a port in before actually knowing your tx regimen, but I totally agree, with regular blood draws & scans, it's a great option to spare the pricking. I also don't understand no mouse tail into the main artery. That's how meds are sent into the system. Mine is also a bard power port & you see the complete outline through my skin. With first dx, my onc said I didn't need one, tax/cytoxan & herceptin, but at first infusion, my nurse said to get one (herceptin would be a year, so lots of needles). I said my happiest day was getting the port out. With 3rd dx, the happiest day was getting my port put in. They said chemo for life so there was no option, which was fine with me. My second one is a tiny bit lower so no wide necks (the tail doesn't bother me) & swim suits are tricky, but any time I complain about it, my family says it's my badge of courage. I can imagine your children being upset, Patty, my kids are grown & understand the cancer story. My grandkids always seem to hit it, but after 3 years, it's wrapped in scar tissue. I always use lidocaine cream 1-2 hours before infusion so they don't have to inject it. I figure the less pokes the better. I appreciate the fact they have lpn & rns doing access...it takes a while longer at blood draw, not as many do ports, but I like it's so sterile (I still watch like a hawk, as some sisters have had infections). It will take a while before it feels right, Patty, but thinking about what you've been through and your hospital experiences, I'm sure it'll be a big relief! Who knows, maybe your kids will see you as the superwoman you are!!!

  • RonnieKay
    RonnieKay Member Posts: 2,067
    edited March 2016

    imagehere's my lifeline :-)

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